Provider Demographics
NPI:1376324707
Name:BETTA LLC
Entity Type:Organization
Organization Name:BETTA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:HEAVENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-482-1628
Mailing Address - Street 1:8990 KIRBY DR STE 220
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2853
Mailing Address - Country:US
Mailing Address - Phone:832-482-1628
Mailing Address - Fax:
Practice Address - Street 1:8990 KIRBY DR STE 220
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2853
Practice Address - Country:US
Practice Address - Phone:832-482-1628
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-11
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies